Individual
JENIFER MARY UPHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3181 CONSERVANCY ESTATES LN, SUN PRAIRIE, WI 53590-9249
(608) 825-2019
Mailing address
5340 STARK RD, SUN PRAIRIE, WI 53590-9776
(608) 209-7688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173066
WI
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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